GERALDRIC MENDOZA
NPI 1699590646
Technician, Pathology - Phlebotomy in Milpitas, CA
Active since November 15, 2024
About Geraldric Mendoza NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GERALDRIC MENDOZA (NPI 1699590646) is an individual phlebotomy provider in Milpitas, California, licensed in California (CPT-022613187) and active in the NPI registry since November 2024.
NPPES Registry Identity
NPI1699590646
Entity TypeIndividualMale
Primary Taxonomy246RP1900X
Provider Legal NameGERALDRIC MENDOZA
Location Address1652 QUAIL DRMilpitas, CA 95035-4720
Mailing Address1652 Quail DrMilpitas, CA 95035-4720 · (408) 775-5914
Phone(408) 775-5914
Sole ProprietorYes
Enumeration DateNovember 15, 2024
NPPES CertifiedNovember 14, 2024
✔ NPI 1699590646 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
License✔ Licensed in CA · CPT-022613187
1652 QUAIL DR, Milpitas, CA 95035
Other Names 1
Former Name (1)Geraldric Mendoza
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699590646, enumerated as an "individual" on November 15, 2024.
The provider is located at 1652 QUAIL DR MILPITAS, CA 95035 and the phone number is (408) 775-5914.
Technician, Pathology with taxonomy code 246RP1900X and a focus in Phlebotomy.
